VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1139424
Sex: M
Age: 57
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Yes (sulpha).

Symptom List:

Symptoms: Chills, fever

Other Meds: None

Current Illness: None

ID: 1139425
Sex: F
Age: 61
State: ME

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: Covid arm

Other Meds: Sertraline (zoloft) 50mg Calcium 600mg Multivitamin Lutein/zeaxanthin (eye health) Loratadine (allergy relief) Psyllium

Current Illness: None

ID: 1139426
Sex: F
Age: 24
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: MODERNA COVID-19 vaccine eua Hands tingling numbness, especially pinky fingers. Very strong pain. Hands are weak. Pain in left leg& slight numb toes. Legs cramping throughout night.

Other Meds: Birth control- Lo estrin

Current Illness: N/a

ID: 1139427
Sex: F
Age: 75
State: IN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swelling around the site started day of vaccination. By Monday was swollen considerably with extreme itching and redness and rash down to the elbow.

Other Meds: None

Current Illness: None

ID: 1139428
Sex: F
Age: 68
State: WV

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: IV dye, erythromycin

Symptom List:

Symptoms: Evening of the vaccination, there was joint pain. Day after the vaccination, the right knee became swollen and very painful. This knee had been replaced the previous Sept. The swelling and pain lasted about 6 days. The swelling went down but did not diminish entirely. The pain went down but only somewhat, leaving consistent pain in the knee since then, Pain is evident upon walking, when sitting down or standing up and sometimes, when resting. I would not have tied this to the vaccine except that my husband, who also had a knee replacement, had the same reaction of swelling and serious pain for the same number of days, His knee replacement was done 5 years ago, and, he normally has no pain or swelling. His has cleared up.

Other Meds: lisiopril bystolic lamotrigine lasix 81mg aspirin pantoprazole cretor niacin zetia preservision

Current Illness: none

ID: 1139429
Sex: F
Age: 51
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: 6 hours after injection-severe headache (stabbing pain base of scull) and chills. 12 hours after injection-headache persists with back/body aches. 24 hours after injection-symptoms gone

Other Meds: Prozac Biotin

Current Illness: None

ID: 1139430
Sex: M
Age: 66
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Pt is always stable on dialysis. Pt was 30 min from completing his treatment and he stopped breathing. Fluid was given, oxygen was placed and sternal rub was performed, pt regained consciousness.

Other Meds:

Current Illness: DM, ESRD

ID: 1139431
Sex: F
Age: 54
State: WI

Vax Date: 03/02/2021
Onset Date: 03/04/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Bells Palsy and ringing in the ears.

Other Meds:

Current Illness:

ID: 1139432
Sex: M
Age: 61
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa drugs. Crustaceans

Symptom List:

Symptoms: Low fever, achy, very sore injection site

Other Meds: None

Current Illness: None

ID: 1139433
Sex: F
Age: 58
State: IN

Vax Date: 03/01/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Morphine EES Tetrocycline

Symptom List:

Symptoms: Large swelling at point of injection. Swelling is hard and approximately size of a softball. It is painful when pressed. Started as size of a golf ball and grew significantly over two days.

Other Meds: Metoprolol Low dose aspirin Arazopram Lovistatin Multi vitamins Vitamin E Vitamin D3 Calcium/magnesium Co Q10 B complex Vitamin C DHEA

Current Illness: None

ID: 1139434
Sex: M
Age: 67
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever up to 101.4 Body aches dull deep muscle & joint Headache *pain I have never experienced before pain in my heart & a little in my left arm As of now 3/27 Muscle, joint, headache & fever all subsided. Light dull ache over heart area, seems to be getting less.

Other Meds: None

Current Illness: None

ID: 1139435
Sex: F
Age: 65
State: NY

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Lightheadedness

Other Meds: Atorvastatin, sertraline, levothyroxine, Prolia, Vitamin D, B12

Current Illness:

ID: 1139436
Sex: F
Age: 66
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: I don't think this is significant, but my husband encouraged me to report it anyway. Slight headache started evening of March 25 p.m., took 2 aspirin and was fine after. Felt O.K. next morning, March 26, but tired. Went to gym as normal, did a light workout. Came home, didn't do much. Hands felt cold - not normal for me. Went out to dinner around 4:30 p.m., came home around 6:00 p.m. and was tired and freezing, Laid down for a while with two blankets, slept a little. Got up, took my temperature - 100.3. Took 2 aspirin and went to bed. Today, March 27, got up around 9:00 a.m., feeling normal! Temperature is 98.6.

Other Meds: Daily vitamins: multi-vitamin, vitamin C, Calcium with D3

Current Illness: none

ID: 1139437
Sex: F
Age: 52
State: TN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin Latex

Symptom List:

Symptoms: Severe numbness in the left side of face , tongue, mouth ,ear neck, arm and foot.

Other Meds: Metformin 500 x2 daily Lisinopril 10 mg 1x at 5pm Omeprazole 40 mg x1 day CMP- biest/prof/Test2(50/50) 50/1 mg gm cream CMP- progesterone 100 mg nightly Flonase x1 daily AllerClear 1 a day (Zyrtec) 1 Bayer aspirin Clobetasol solution sc

Current Illness: Psoriasis High BP High cholesterol Diabetes Menopause Psoriatic arthritis

ID: 1139438
Sex: M
Age: 71
State: KY

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever 101.7, nausea, headache, dizziness,extreme weakness, back pain, muscle pain

Other Meds: Losartan 50 mg, hydrochlorothiazide25 mg, vitamin B12, men?s multivitamin, pepcid, Goli apple cider vinegar Gummies

Current Illness: None

ID: 1139439
Sex: F
Age: 57
State: IL

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None known

Symptom List:

Symptoms: This was my first dose of the Covid-19 vaccine, but my body seemed to respond in ways that I have heard others respond to the 2nd vaccine (perhaps because I have already had the virus?) I received the injection at 2:20 pm on 3/10//21. I began to feel somewhat lightheaded soon after the injection, but nurse took vitals and my heart rate and bp were normal. Mid-morning on 3/11/21 I began to feel chilled. By 1:00 pm my temperature was 101.0 and had a headache, fatigue and body aches. Took Tylenol mid afternoon. (Soreness left arm steadily increased and lasted about 4-5 days, with semi-itchy rash just on arm near injection the last 3 days.) On advice of nurse I visited the Clinic at 7:30 pm on 3/11/21.)

Other Meds: Levothyroxin 88 mcg Fish Oil 2000g Multivitamin

Current Illness: None. (I was positive for Covid-19 in December - symptoms began on 12/5/20. My symptoms then included fever of 100.4 - 101.0 for about 3 days, fatique for at least a week, sinus congeston/runny nose, and loss of smell and taste; thankfully no serious respiratory symptoms.)

ID: 1139440
Sex: F
Age: 68
State: NM

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Antibiotics, pollens, dust, mold, lots of food sensitivities (fructose), flavoring elements in processed foods, chemical sensitivities

Symptom List:

Symptoms: Fever, headache, flu-like aches and pains--joint pain, miscellaneous stabbing/throbbing pains, nausea, loss of appetite

Other Meds: Vit C, glutathione, tumeric, niacinamide, magnesium, flonase

Current Illness: Long haul Covid since late February 2020

ID: 1139442
Sex: F
Age: 39
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Fever of 100.8, extreme fatigue and chills, sore throat.

Other Meds: Multivitamins

Current Illness:

ID: 1139443
Sex: F
Age: 57
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Very sore upper arm for 2 days. Lessening on the 3rd day. No bruising. Days 1-2: Considerable pain to the touch. Considerable muscle pain when lifting arm above the shoulder. Day 3: Lessening pain. More of a dull ache. Movement less painful.

Other Meds: none

Current Illness: none

ID: 1139444
Sex: F
Age: 38
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None Reported by Patient

Symptom List:

Symptoms: Patient reports following injection,, she walked away from vaccination station to the recovery area, where she sat down and got an overwhelming urgency to use the bathroom for bowel movement. Patient reports due to weakness she did not ambulate to the bathroom and asked for help. Patient reports that she experienced "burning" sensation in the left arm and throughout torso. Patient then states that she could not stop falling asleep. Patient does not recall any events after this before arrival of public health staff.

Other Meds: Iron Supplement

Current Illness: None Reported by Patient

ID: 1139445
Sex: F
Age: 34
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: lisinopril, fluticasone-salmeterol, Macrobid

Symptom List:

Symptoms: Facial swelling, throat closing sensation, urticaria, all rapidly progressive since time of onset

Other Meds: albuterol, amlodipine, atenolol, aotvastatin, cetirizine, ciclesonide, Benadryl, HCTZ, losartan, metformin, montelukast

Current Illness:

ID: 1139446
Sex: M
Age: 50
State: TX

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Lactose intolerant

Symptom List:

Symptoms: Two bruises or rashes appeared on my left arm (near my shoulder) near the injection point. I do not feel any pain or discomfort, but the marks are not healing or going away (after 9 days). I called my doctor, and he recommended reporting the allergic reaction.

Other Meds: Multivitamin, Vitamin D, Vitamin C, Omega 3 Fish oil, Flaxseed oil, Cinnamon, green tea

Current Illness: None

ID: 1139447
Sex: M
Age: 37
State: IN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: Stiffness in arm. Mental fuzziness, like I had been up too long. As the night went on, fever developed, and body chills

Other Meds: Omeprazole

Current Illness: No

ID: 1139449
Sex: M
Age: 58
State:

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated arms felt warm and then started to develop hives 2 to 3 minutes after receiving vaccine. Then stated arms, shoulder and back felt achy. Patient was given 50mg or Benadryl orally and monitored.

Other Meds:

Current Illness:

ID: 1139450
Sex: M
Age: 66
State: MN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKFA NKDA

Symptom List:

Symptoms: Pt. reports fever and cough started the next day after receiving the Pfizer covid vaccine 1st dose. Pt reported to our ER for fever and cough.

Other Meds: lisinopril, metformin, glipizide

Current Illness:

ID: 1139451
Sex: F
Age: 44
State: MN

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: Started off small itchy - almost like mosquito bite and is now swollen hard , warm have almost 2 inches big

Other Meds: Claritin, Prozac , multi vitamin , progesterone

Current Illness: No

ID: 1139452
Sex: M
Age: 37
State: VA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None known

Symptom List:

Symptoms: I had a stage 1b malignant melanoma lesion removed from my right shoulder in 2014 and had completed all required follow-up. About a week after receiving the first dose (left arm), I noticed a small marble-sized lump in my right armpit. The lump continued to grow rapidly and I went to the doctor, after a biopsy and scans it was confirmed to be metastatic melanoma, most likely a recurrence from the 2014 melanoma. I received the second dose on 18 February (left arm) and noticed the lump in my right armpit grew much faster and I had a reaction (swollen nodes) in my left armpit as well. The melanoma is limited to my right armpit. We are reporting the event because of the timing of the melanoma recurrence in conjunction with the vaccination and because the National Institutes of Health is investigating the biopsy/pathology of the tumor in the right axilla as there are features they have never seen before in melanoma.

Other Meds: Multi vitamin, fish oil

Current Illness: None

ID: 1139453
Sex: F
Age: 44
State: NY

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: 3/11/21 Left side of face went numb, jaw pain, felt like electric bolts through head, involuntary muscle contacting in face (both sides), Jittery, Eye twitching, headache. Ear pain. 3/12 -3/13/21 Face numbness got worse, left side started to droop. Muscle soreness in left arm, headache, tired. 3/14/21 ER visit to rule out Stroke. Diagnosed with Bells Palsey. 3/15-3/17/21 Left side of face still numb, pain/muscle spasms come and go. 3/18/21 Woke up with skin hypersensitive- feels like I have a severe sun burn from my neck to waist area, swollen glands, eye twitching, lips, tongue and throat swelled up. Severe jaw and ear pain, trouble breathing. Face still tingly/numb. Legs became extremely sore and heavy feeling, hard to walk. Called Dr- put on Prednisone (60mg and decreasing) and an anti-viral. 3/19/21 Same symptoms as previous day plus stomach area began to hurt/burning sensation- like all my organs were inflammed. Uncomfortable pain in my right side. Took first dose of meds this am. 3/20/21 Extreme jaw/ear pain, clenching feeling, loss of strength on the left side of my face Symptoms tapered off fir a few days, face numbness decreased and swelling seemed to improve. 3/25/21 Woke up with Skin burning again and glands in neck swollen. Called Dr- placed back on a higher dose of Predisone . At night, throat and tongue swelled up 3/26/21 Tongue and throat swelling, still facial tingling and numbness

Other Meds: Zyrtec Dexilant

Current Illness: None

ID: 1139454
Sex: F
Age: 26
State: PA

Vax Date: 02/27/2021
Onset Date: 03/08/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Cefzil

Symptom List:

Symptoms: Local reaction on left arm approximately 8 days after 1st dose. Presented as a large, raised, red blotch that got bigger over 4 days and then disappeared.

Other Meds: Vitamin D

Current Illness: elevated LFTs, elevated sed rate and CRP

ID: 1139455
Sex: F
Age: 45
State: LA

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: no

Symptom List:

Symptoms: Fever (101.00 highest), chills, severe body aches, headaches, and a stuffy nose.

Other Meds: levothyroxine 175 MCG tablet HYDROcodone-acetaminophen 5-325 mg per tablet celecoxib 200 MG capsule

Current Illness: 03/11/2021 Excisional Biopsy/Left Upper Outer Quadrant Breast - Left

ID: 1139456
Sex: F
Age: 45
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: -By evening of 1/6/21 , 1st dose vaccine, approx. 6-7 hours post: beginning of muscle aches, chills, fatigue. -By next morning, approx. 17 hours post 1st vaccine - 46 hours post 1st vaccination: extreme muscle aches and body pain sensitivity throughout skin/nerve endings - painful to touch skin or even turn over in bed. strong chills. Fever up to 102.5 or 102.7 with fever reducing OTC meds. Areas of existing chronic pain in both arms (tennis elbow) and neck had significantly more pain - burning pain and tenderness that prevented sleep. -Approx. 46-47 hours post 1st vaccination fever broke and symptoms started subsiding significantly. -Approx. 55 hours post 1 vaccination, most symptoms gone except light aches and fatigue. extra sensitivity in chronic pain areas of arms and neck persisted for at least 2 week post 1st vaccination. -2nd vaccination on 2/2/2021 - same as above - chills and skin sensitivity slightly reduced.

Other Meds: krill oil capsules, valtrex, metformin

Current Illness: n/a

ID: 1139457
Sex: F
Age: 57
State:

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: headache, mild myalgia and general malaise

Other Meds:

Current Illness:

ID: 1139458
Sex: F
Age: 59
State: IN

Vax Date: 03/10/2021
Onset Date: 03/20/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: codeine, adverse reaction have elongated QT so avoid many medicines as result of this condition

Symptom List:

Symptoms: vertigo - in bed at night rolled from left side to right side and experienced strong spinning sensation - sat upright for about a minute and it cleared - position changes done slowly were fine, only repeated spinning sensation when moved head at normal speed . Doctor appointment on 3/24/21 - received instructions for Epley maneuver and have performed this once each day since appointment - also received prescription for Azelastine HCI nasal spray and have used this once a day since appointment - has been steady improvement of condition - experience vertigo now only if moving head quickly Doctor indicated these treatments until 3/29/21 - if not greatly improved by then, contact office for possible prescription of meclizine or additional treatment as needed

Other Meds: zebeta 5mg/day multivitamin Prevagen regular strength, 3/week Osteo Bi-Flex regular strength, 3/week Calcium 600 mg, 3/week CoQ10 200 mg, 3/week Garlic 1,000 mg, 3/week Cranberry 4200 mg, 3/week

Current Illness: elongated QT prediabetes

ID: 1139459
Sex: F
Age: 66
State: MI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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Allergies: Bee stings

Symptom List:

Symptoms: severe muscle aches, skin sensitive to the touch/painful, hair loss,

Other Meds: Xanax, lovastatin, Effexor

Current Illness: Reoccurrence of ovarian cancer

ID: 1139460
Sex: M
Age: 37
State: UT

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Allergies: None that I'm aware.

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Symptoms: Last night I noticed injection site was raised and swollen about 1-2 inches. This morning it was larger both in diameter and swelling. No pain. A little itchy. I've always had headaches this past week almost daily but could not rule out computer eye strain and not drinking enough water.

Other Meds: Swelling at injection site, red and inflamed. Itchy but not painful. About 3 inches in diameter.

Current Illness: None

ID: 1139462
Sex: F
Age: 28
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Allergies: No known allergies

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Symptoms: 13 weeks 6 days at time of injection, 14 weeks 0days at onset of symptoms. Body aches and chills started at 1am. Vomiting started at 2am and last until 4p. Was unable to keep food or liquids down during that period. Had highest fever of 100.7 F, as well as nausea, body aches, chills, fatigue and severe pain at injection site. Nausea and fatigue continued into day 2 after getting vaccine (3/27).

Other Meds: Zoloft, prenatal, magnesium glycinate, vitamin d3

Current Illness: None

ID: 1139463
Sex: F
Age: 46
State: CT

Vax Date: 03/21/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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Allergies: Mangos and Tessalon Pearls

Symptom List:

Symptoms: "Covid Arm" reaction - warm and itchy large red patch about two inches in diameter, painful to touch, and swollen

Other Meds: Cellcept, Aciphex, Bactrim DS, amLODIpine, and Famotidine

Current Illness:

ID: 1139464
Sex: F
Age: 62
State:

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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Symptoms: Pain in left arm especially at injection site but extending to elbow and up to shoulder. Pain was not enough to warrant pain medication. Today it is mostly just at injection site and is noticably less. Also had some tingling sentaion on my elbow and back of my hand, like an insect was crawling there but wasn't. That only occured one day, the day after the injection then stopped.

Other Meds:

Current Illness:

ID: 1139465
Sex: F
Age: 23
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Symptoms: Blood blister in my mouth

Other Meds:

Current Illness:

ID: 1139466
Sex: M
Age: 40
State: WI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/27/2021
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Symptoms: Client had previously received Moderna Dose 1. Client received separate invite for Janssen due to signing up twice and they came in. Previous Moderna dose not caught in clinic and Janssen dose given incorrectly. Client does not need any additional COVID vaccine.

Other Meds:

Current Illness:

ID: 1139467
Sex: F
Age: 69
State: PA

Vax Date: 03/01/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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Allergies: NONE

Symptom List:

Symptoms: AT 6:00AM TAKEN A SHOWER FELT LEFT LEG SWOLLEN LIKE EDEMA AND RED AND HOT, RASH AND HURT WENT I TOUCH I DID HAVE APPT WITH A CARDIOLOGY I SHOW HIM MY LEGS HE SEND ME TO DO ULTRASOUND IN HOSPITAL APPT AT 2PM

Other Meds: NONE

Current Illness: NONE

ID: 1139468
Sex: F
Age: 67
State: CO

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Allergies: imitrex, cigarette smoke, bee venom

Symptom List:

Symptoms: woke up with red, swollen, warm to touch, painful (4 on 10 scale) (making neck tighten)

Other Meds: drozolamide, vyzulta, lisinopril, brimonidine, omeprazole

Current Illness: NA

ID: 1139469
Sex: F
Age: 64
State: NC

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Allergies: None

Symptom List:

Symptoms: Patient was waiting in the waiting area after her shot an developed itching and rash to L forearm. Patient had no other symptoms. Given 50mg PO Benadryl and watched for 20-30 minutes. Lungs clear, Heart RRR, Vitals WNL. Patient felt fine and rash began to resolve and patient was discharged to home with her husband.

Other Meds: Patient was given 50mg PO Benadryl for an itchy rash on her L arm.

Current Illness: None

ID: 1139470
Sex: M
Age: 49
State: PR

Vax Date: 01/26/2021
Onset Date: 02/16/2021
Rec V Date: 03/27/2021
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Allergies: No

Symptom List:

Symptoms: Joints pain - hands, elbow, knee, wrist, ankle pain in the back - pain on my clavicle Pains are not constantly, come and go every two or three days.

Other Meds: Tylenol

Current Illness: NO

ID: 1139471
Sex: F
Age: 60
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Symptom List:

Symptoms: Chills,fever, aches, malaise, headache

Other Meds: Citalopram, Lorazepam

Current Illness:

ID: 1139472
Sex: F
Age: 42
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Allergies: none

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Symptoms: In recovery pt stated "felt like numb head to feet I had cough and sore throat past couple days" (spoke broken English Asian decent) brought to recovery area in wheelchair to lie down supine Assess: - LOC, -SOB, - N/V, slight pale - Rash. - facial swelling, - tongue swelling. stated she was anxious to get vaccine Left Deltoid site benign, VS 130/72, HR 95 reg strong, resp 12 reg non labored. Medical called to evaluate. Encouraged hydration, Provided reassurance monitored 1 hr (per pt request) No further symptoms developed. Advised if anything occurs later in day call 911 if life threatening or go to urgent care. sign to V-safe . Ok'd to exit 9:45 am

Other Meds: Levothyronine 88 mcg 1/day, Omeprazole

Current Illness: Thyroidectomy, GERD

ID: 1139473
Sex: F
Age: 58
State: MO

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/27/2021
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Symptoms: Approximately 24 hours after receiving vaccination, patient reported a red, swollen left eyelid and surrounding area. Slightly itchy but not painful, and no affects to vision. Patient remembers having the same effect (but less), when she received the first shot, but at that time she assumed it was a sty or something else, and did not report it.

Other Meds:

Current Illness:

ID: 1139474
Sex: F
Age: 25
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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Allergies: None

Symptom List:

Symptoms: Chills, Body Aches, Headache, Fatigue

Other Meds: Daily Vitamin

Current Illness: None

ID: 1139475
Sex: F
Age: 34
State: IN

Vax Date: 02/20/2021
Onset Date: 02/27/2021
Rec V Date: 03/27/2021
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Allergies: Allergic to sulfa and penicillin antibiotics

Symptom List:

Symptoms: Ovoid erythematous rash over lateral left deltoid with minor swelling and transient, intermittent pruritis; approx. 7cmx5cm. Equivocal concurrent ipsilateral axillary lymphadenomegaly. First noticed late afternoon Feb 27 when incidentally glanced in mirror. Symptoms progressed slightly by morning of Feb 28, then remained static that morning, then gradually resolved with complete resolution by 72h. TX - Iced the area x10min two or three times, took a single dose of NSAID, and took my normal antihistamine.

Other Meds: Junel-Fe daily, Simvastatin (80mg) daily, cetirizine HCl daily, multivitamin daily, ibuprofen PRN

Current Illness: None

ID: 1139476
Sex: F
Age: 67
State: AZ

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/27/2021
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Allergies: none

Symptom List:

Symptoms: wakefulness, jitters, achy

Other Meds: atorvistatin 80 mg sertraline oxybutinol

Current Illness: COVID- Feb.10-25

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm